Vitrectomy
Objective
• To clean away blood, pus, etc from the vitreous cavity of the eye.
• As a step in removal of intraocular foreign bodies, complicating retinal detachment operations, etc.
Position
Supine.
Anesthesia
General or local (Peribulbar block or Retrobulbar block + Facial block).
Procedure
1. Lid sutures passed, clamped.
2. Conjunctival peritomy.
3. Rectus muscles isolated.
4. Infusion port made; infusion started.
5. 2nd entry port made; followed by 3rd port if required.
6. Vitrectomy performed.
7. Retina visualized (using contact lens or indirect ophthalmoscope).
8. Closure of entry ports and conjunctival closure.
Instruments
• General Oculoplasty set.
• Vitrectomy set.
Any questions be sent to drmmkapur@gmail.com
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